| NPI | 1508867284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71000679A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 1100617) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2011-09-13 |